Healthcare Provider Details

I. General information

NPI: 1093453961
Provider Name (Legal Business Name): NEETA PARVEZ MERCHANT NC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2022
Last Update Date: 05/21/2022
Certification Date: 05/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3973 IRVINE BLVD # 415
IRVINE CA
92602-2400
US

IV. Provider business mailing address

3973 IRVINE BLVD. #415
IRVINE CA
92602
US

V. Phone/Fax

Practice location:
  • Phone: 949-294-3997
  • Fax:
Mailing address:
  • Phone: 949-294-3997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: